USOPC External Provider Application

Which program are you interested in applying to?

USOPC Sports Medicine Volunteer ProgramUSOPC Psychological Services Registry

USOPC Sports Medicine Volunteer Program

Please select your primary role(s)

Thank you for your interest in the Sports Medicine Volunteer Program with the United States Olympic & Paralympic Committee (USOPC)! Serving as a volunteer medical provider with the USOPC is a privilege, not a right. As such, whether to accept providers into the USOPC volunteer program is within the sole discretion of the USOPC, even in cases where providers meet the minimum criteria.

Applications are reviewed on a bi-monthly basis. Please note that due to the volume of applications we receive, we are unable to provide individual status updates. Once your application is accepted, we will reach out when rotations become available.

If you have any questions, please contact sportsmedicinevolunteerprogram@usopc.org.

USOPC Psychological Services

Please select your primary role(s)

USOPC Mental Health Registry:

To qualify for the USOPC Mental Health Registry, providers must have:

Active US license in a designated mental health field.
Membership in either the American Psychology Association (APA), Association for Applied Sport Psychology (AASP), American Counseling Association (ACA), Alliance of Social Workers in Sport (ASWIS), preferred.
For Psychiatrists:

Board certified in psychiatry
Certification in Sports Psychiatry from the ISSP, recommended
Current, valid DEA certificate

Minimum of 5 years' experience post-licensure or 5 years post board certification for psychiatrists.
Professional liability insurance: Minimum of $1,000,000 - $3,000,000
May not have any limitations, restrictions, or disciplinary actions against their licenses, or DEA/CDS certificates.

Mental health registry participants along with the United States Olympic & Paralympic Committee’s (USOPC) full-time medical and mental health staff provide collaborative, integrated, multidisciplinary health care services to athletes registered at the US Olympic & Paralympic Training Centers & Sites (OPTC) in Colorado Springs, CO, Chula Vista, CA and Lake Placid, NY, and remotely.

Registry members must meet the following criteria to qualify for the USOPC Mental Health Registry:

Active US license in designated field.
Actively engaged in the sporting community including providing care for elite athletes within the past five (5) years (i.e. event volunteering, coverage, local sport team care).
Experience working with individuals from diverse cultural and ethnic backgrounds and abilities.
Experience using an Electronic Medical Record system.
Experience working in a multidisciplinary team.
Knowledge of elite athletic culture and associated relationships (i.e. coaches, service providers, etc.).
Knowledge of, and ability to conduct, alcohol and other drug assessments and ability to work with Olympic and Paralympic athlete population on these issues (Preferred).
No felony or health care fraud convictions.
No disciplinary actions on clinical license(s).
No actions, sanctions or discipline on clinical privileges or employment as the result of sexual abuse/harassment or substance abuse.
The USOPC must be notified by the registry member of any pending criminal charges or disciplinary action by any medical organization, board, or licensing agency as soon as they are filed at any time while serving in the USOPC mental health registry program.
Must have malpractice insurance:

Policy minimum is $1,000,000 - $3,000,000
Provide a current copy of the declarations page
Registry members must disclose any malpractice claims

Meet the profession-specific requirements in the following table and provide the requisite documents.

Applicant Info

First Name

If applying for the Registry, your First Name will be published on the Registry

Last Name

If applying for the Registry, your First Name will be published on the Registry

Legal First Name

Your First Name will be published on the Registry

Legal Last Name

Legal Last Name will be used for background screening

Business Phone Number

If applying for the Registry, Business Phone Number will be published on the Registry

Alternate Phone Number

Birthdate

To eliminate duplicate profiles

Address

Please enter the address you would like to have published on the registry map

Street

City

State

Zip Code

Additional Info - Sports Medicine Volunteer Program

Have you been vaccinated for COVID-19?

Have you received a COVID-19 Booster?

Have you completed a USOPC Sports Medicine Volunteer Rotation before?

Previous Rotation Year

Do you have experience working with Paralympic Athletes?

Please select all Clinical Specialties you have

Additional Clinical Specialties

Please include any additional clinical specialties not listed.

Please select all sport categories you have experience with:

Please let us know if you are able to ski and your skill level.

Additional Info - Psychology Services Registry

Please rate your experience with documenting in Electronic Health Record systems

Are you in-network with any insurance providers?

Additional details will be requested at a later time

Do you possess the appropriate liability insurance?
Policy minimum is $1,000,000 - $3,000,000

Have you had actions, sanctions or discipline on clinical privileges or employment as a result of sexual abuse or sexual harrassment?

Are you currently suffering from any condition for which you are not being appropriately treated that impairs your judgement or that would otherwise adversely affect your ability to practice medicine (other disciplines) in a competent, ethical and professional manner?

Please Explain

If you have any issues with submitting the form, please email USOPCPortalHelp@usopc.org

Contact Information